NEW YORK NURSE ASSISTANT CLINICAL REVIEW EXAM | PRACTICE EXAM | STUDY
GUIDE | TESTBANK | LATEST UPDATE 2026/2027 | 100% CORRECT ANSWERS
Table of Contents:
Role of the Nurse Aide (18% of Exam)
Promotion of Safety & Infection Control (16% of Exam)
Promotion of Function & Health of Residents, Including Personal Care Skills (24% of
Exam)
Basic Nursing Skills, Including Vital Signs, I&O, & Emergencies (26% of Exam)
Providing Specific Care for Physical & Psychological Impairments, & Care of the Dying
(16% of Exam)
INTRODUCTION
Welcome to the New York Nurse Assistant Clinical Review Exam practice test. This
comprehensive study guide is meticulously designed to prepare candidates for the
Prometric-administered New York State Department of Health (NYSDOH) Nurse Aide
Competency Exam . The questions within reflect the rigorous standards of the official
exam, which requires a 70% passing score on the 60 scored written questions and
flawless performance on the clinical skills evaluation . This practice test emphasizes
application, critical thinking, and interpretation of real-world scenarios to assess your
readiness. Expect questions that challenge you to analyze resident situations, prioritize
care, and demonstrate professional judgment. Success requires a deep understanding
of the NY CNA scope of practice as defined by NYSDOH, focusing on resident rights,
safety, and infection control .
Question 1
A resident who is usually alert and oriented becomes suddenly confused and is trying
to leave the unit. What is the nurse aide's priority action?
A. Physically block the resident's path to prevent elopement.
B. Activate the facility's elopement protocol and notify the charge nurse immediately.
C. Call the resident's family to inform them of the behavior change.
D. Allow the resident to walk in a safe area while closely observing them.
Correct Answer: B
- A sudden change in mental status is an acute emergency that must be reported to
the nurse immediately . The aide's priority is to ensure resident safety by staying with
them and reporting the change to the supervising nurse, who will assess the situation
and initiate appropriate interventions. Restraints or force are not appropriate and
require a physician's order .
Question 2
A nurse aide is assisting a resident with a tub bath. After filling the tub, the aide
should:
,A. Place the resident in the tub and add more warm water to maintain the
temperature.
B. Check the water temperature by placing their hand in the water for several seconds.
C. Use a bath thermometer to ensure the water is between 105°F and 115°F.
D. Assist the resident into the tub and then gather the necessary supplies.
Correct Answer: C
- Safety is paramount. The water temperature must be checked with a thermometer to
prevent burns, as the aide's hand may not accurately detect temperatures that are
dangerous for a resident's fragile skin . Supplies and the environment should be
prepared before the resident enters the tub to minimize the time the resident is
exposed to risk.
Question 3
A resident with an indwelling urinary catheter complains of a sudden onset of lower
abdominal pain and a feeling of fullness. The nurse aide notes that the urinary
drainage bag has minimal output over the past two hours. What is the most
appropriate action?
A. Irrigate the catheter with sterile normal saline to relieve the obstruction.
B. Encourage the resident to drink more fluids to flush the system.
C. Check the tubing for kinks and ensure the bag is positioned below the level of the
bladder, then report findings to the nurse.
D. Clamp the catheter for 30 minutes to allow the bladder to fill and then unclamp it.
Correct Answer: C
- The aide's role is to observe, report, and perform basic troubleshooting within their
scope. Checking for kinks or a dependent loop that prevents drainage is appropriate,
but the aide cannot irrigate or adjust the catheter without a specific order. This
situation suggests a possible blockage, which must be reported to the nurse
immediately .
Question 4
When providing mouth care to an unconscious resident, which of the following
actions is the most important for preventing aspiration?
A. Placing the resident in a supine position for better access.
B. Using a small amount of water and a soft toothbrush.
C. Placing the resident in a side-lying position with the head turned to the side.
D. Using a commercial mouthwash to ensure the mouth is thoroughly cleaned.
Correct Answer: C
- Positioning the resident on their side with the head turned allows fluids to drain out
of the mouth by gravity, preventing them from pooling in the pharynx and being
aspirated into the lungs . This is a critical safety step for any dependent resident
receiving oral care .
,Question 5
A nurse aide is preparing to transfer a resident from the bed to a wheelchair using a
gait belt. After placing the belt around the resident's waist, the aide should:
A. Position the belt low on the resident's hips, over their clothing.
B. Tighten the belt securely so it is snug but allows for two fingers to be inserted
between the belt and the resident.
C. Grasp the belt from behind the resident and lift with a straight back.
D. Ask the resident to hold onto the aide's shoulders for support during the transfer.
Correct Answer: B
- The gait belt must be snug to provide adequate support, but not so tight that it
restricts breathing or causes discomfort. The standard fit is to allow for two fingers to
fit comfortably between the belt and the resident. The belt is placed around the waist,
not the hips, and the aide should grip from the sides, not behind .
Question 6
A resident is on a fluid restriction. Which of the following actions by the nurse aide
demonstrates correct practice?
A. Placing a "NPO" (nothing by mouth) sign above the resident's bed.
B. Offering the resident frequent small sips of water throughout the shift.
C. Accurately measuring and recording all fluids the resident consumes, including
those in foods like gelatin and ice cream.
D. Removing the water pitcher from the resident's room to prevent them from
drinking too much.
Correct Answer: C
- Accurate intake and output (I&O) recording is a critical skill for a nurse aide . Fluids
in foods that become liquid at room temperature, like gelatin, sherbet, and ice cream,
count as intake. The aide must be meticulous in measuring all fluids to support the
care plan .
Question 7
A resident with dementia often becomes agitated and tries to hit staff during morning
care. What is the most appropriate initial response?
A. Call for assistance and perform a two-person, gentle restraint to complete care
quickly.
B. Use a firm tone of voice to command the resident to stop the behavior.
C. Approach the resident slowly, speak in a calm and reassuring tone, and explain
each step of the care process before starting.
D. Skip the bath for the day and document the resident's refusal, as forcing the issue
is not allowed.
Correct Answer: C
- A calm approach, clear communication, and respecting the resident's need for
, security can de-escalate agitation . Restraints are a last resort and require a
physician's order; they are never used for staff convenience. Skipping care entirely is
neglect; instead, a calm and flexible approach is key to providing needed care while
respecting the resident's rights .
Question 8
A nurse aide is caring for a resident who is at high risk for falls. Which of the following
actions would be an example of a restraint alternative?
A. Keeping the bed in the lowest position with the brakes locked.
B. Placing a bed alarm on the resident's bed to alert staff when the resident attempts
to get up.
C. Tying the resident's sheet tightly across their chest to prevent them from getting
out of bed.
D. Applying a vest restraint to keep the resident in a chair, per the care plan.
Correct Answer: B
- A bed alarm is a restraint alternative used to promote safety while respecting
resident autonomy . It alerts staff to a resident's movement, allowing for timely
assistance without the use of a physical device that restricts movement. Restraints are
only used with a valid order .
Question 9
The nurse aide is performing passive range of motion (PROM) on a resident's right
shoulder. The aide should:
A. Move the joint quickly to promote blood flow.
B. Ask the resident to help move their arm as much as possible.
C. Hold the joint above and below the moving joint and move it smoothly to the point
of resistance, but not pain.
D. Force the joint through the full range of motion to prevent contractures.
Correct Answer: C
- PROM is performed by the caregiver, with the resident relaxed. The joint must be
supported to prevent injury, and movement should be smooth and gentle, stopping at
the point of resistance or discomfort. Forcing the joint can cause injury .
Question 10
A resident has a new order for a cold application. The nurse aide should observe the
skin under the cold pack for which of the following signs of a potential complication?
A. Redness and warmth.
B. Pallor and numbness.
C. Diaphoresis (sweating).
D. Pruritus (itching).
GUIDE | TESTBANK | LATEST UPDATE 2026/2027 | 100% CORRECT ANSWERS
Table of Contents:
Role of the Nurse Aide (18% of Exam)
Promotion of Safety & Infection Control (16% of Exam)
Promotion of Function & Health of Residents, Including Personal Care Skills (24% of
Exam)
Basic Nursing Skills, Including Vital Signs, I&O, & Emergencies (26% of Exam)
Providing Specific Care for Physical & Psychological Impairments, & Care of the Dying
(16% of Exam)
INTRODUCTION
Welcome to the New York Nurse Assistant Clinical Review Exam practice test. This
comprehensive study guide is meticulously designed to prepare candidates for the
Prometric-administered New York State Department of Health (NYSDOH) Nurse Aide
Competency Exam . The questions within reflect the rigorous standards of the official
exam, which requires a 70% passing score on the 60 scored written questions and
flawless performance on the clinical skills evaluation . This practice test emphasizes
application, critical thinking, and interpretation of real-world scenarios to assess your
readiness. Expect questions that challenge you to analyze resident situations, prioritize
care, and demonstrate professional judgment. Success requires a deep understanding
of the NY CNA scope of practice as defined by NYSDOH, focusing on resident rights,
safety, and infection control .
Question 1
A resident who is usually alert and oriented becomes suddenly confused and is trying
to leave the unit. What is the nurse aide's priority action?
A. Physically block the resident's path to prevent elopement.
B. Activate the facility's elopement protocol and notify the charge nurse immediately.
C. Call the resident's family to inform them of the behavior change.
D. Allow the resident to walk in a safe area while closely observing them.
Correct Answer: B
- A sudden change in mental status is an acute emergency that must be reported to
the nurse immediately . The aide's priority is to ensure resident safety by staying with
them and reporting the change to the supervising nurse, who will assess the situation
and initiate appropriate interventions. Restraints or force are not appropriate and
require a physician's order .
Question 2
A nurse aide is assisting a resident with a tub bath. After filling the tub, the aide
should:
,A. Place the resident in the tub and add more warm water to maintain the
temperature.
B. Check the water temperature by placing their hand in the water for several seconds.
C. Use a bath thermometer to ensure the water is between 105°F and 115°F.
D. Assist the resident into the tub and then gather the necessary supplies.
Correct Answer: C
- Safety is paramount. The water temperature must be checked with a thermometer to
prevent burns, as the aide's hand may not accurately detect temperatures that are
dangerous for a resident's fragile skin . Supplies and the environment should be
prepared before the resident enters the tub to minimize the time the resident is
exposed to risk.
Question 3
A resident with an indwelling urinary catheter complains of a sudden onset of lower
abdominal pain and a feeling of fullness. The nurse aide notes that the urinary
drainage bag has minimal output over the past two hours. What is the most
appropriate action?
A. Irrigate the catheter with sterile normal saline to relieve the obstruction.
B. Encourage the resident to drink more fluids to flush the system.
C. Check the tubing for kinks and ensure the bag is positioned below the level of the
bladder, then report findings to the nurse.
D. Clamp the catheter for 30 minutes to allow the bladder to fill and then unclamp it.
Correct Answer: C
- The aide's role is to observe, report, and perform basic troubleshooting within their
scope. Checking for kinks or a dependent loop that prevents drainage is appropriate,
but the aide cannot irrigate or adjust the catheter without a specific order. This
situation suggests a possible blockage, which must be reported to the nurse
immediately .
Question 4
When providing mouth care to an unconscious resident, which of the following
actions is the most important for preventing aspiration?
A. Placing the resident in a supine position for better access.
B. Using a small amount of water and a soft toothbrush.
C. Placing the resident in a side-lying position with the head turned to the side.
D. Using a commercial mouthwash to ensure the mouth is thoroughly cleaned.
Correct Answer: C
- Positioning the resident on their side with the head turned allows fluids to drain out
of the mouth by gravity, preventing them from pooling in the pharynx and being
aspirated into the lungs . This is a critical safety step for any dependent resident
receiving oral care .
,Question 5
A nurse aide is preparing to transfer a resident from the bed to a wheelchair using a
gait belt. After placing the belt around the resident's waist, the aide should:
A. Position the belt low on the resident's hips, over their clothing.
B. Tighten the belt securely so it is snug but allows for two fingers to be inserted
between the belt and the resident.
C. Grasp the belt from behind the resident and lift with a straight back.
D. Ask the resident to hold onto the aide's shoulders for support during the transfer.
Correct Answer: B
- The gait belt must be snug to provide adequate support, but not so tight that it
restricts breathing or causes discomfort. The standard fit is to allow for two fingers to
fit comfortably between the belt and the resident. The belt is placed around the waist,
not the hips, and the aide should grip from the sides, not behind .
Question 6
A resident is on a fluid restriction. Which of the following actions by the nurse aide
demonstrates correct practice?
A. Placing a "NPO" (nothing by mouth) sign above the resident's bed.
B. Offering the resident frequent small sips of water throughout the shift.
C. Accurately measuring and recording all fluids the resident consumes, including
those in foods like gelatin and ice cream.
D. Removing the water pitcher from the resident's room to prevent them from
drinking too much.
Correct Answer: C
- Accurate intake and output (I&O) recording is a critical skill for a nurse aide . Fluids
in foods that become liquid at room temperature, like gelatin, sherbet, and ice cream,
count as intake. The aide must be meticulous in measuring all fluids to support the
care plan .
Question 7
A resident with dementia often becomes agitated and tries to hit staff during morning
care. What is the most appropriate initial response?
A. Call for assistance and perform a two-person, gentle restraint to complete care
quickly.
B. Use a firm tone of voice to command the resident to stop the behavior.
C. Approach the resident slowly, speak in a calm and reassuring tone, and explain
each step of the care process before starting.
D. Skip the bath for the day and document the resident's refusal, as forcing the issue
is not allowed.
Correct Answer: C
- A calm approach, clear communication, and respecting the resident's need for
, security can de-escalate agitation . Restraints are a last resort and require a
physician's order; they are never used for staff convenience. Skipping care entirely is
neglect; instead, a calm and flexible approach is key to providing needed care while
respecting the resident's rights .
Question 8
A nurse aide is caring for a resident who is at high risk for falls. Which of the following
actions would be an example of a restraint alternative?
A. Keeping the bed in the lowest position with the brakes locked.
B. Placing a bed alarm on the resident's bed to alert staff when the resident attempts
to get up.
C. Tying the resident's sheet tightly across their chest to prevent them from getting
out of bed.
D. Applying a vest restraint to keep the resident in a chair, per the care plan.
Correct Answer: B
- A bed alarm is a restraint alternative used to promote safety while respecting
resident autonomy . It alerts staff to a resident's movement, allowing for timely
assistance without the use of a physical device that restricts movement. Restraints are
only used with a valid order .
Question 9
The nurse aide is performing passive range of motion (PROM) on a resident's right
shoulder. The aide should:
A. Move the joint quickly to promote blood flow.
B. Ask the resident to help move their arm as much as possible.
C. Hold the joint above and below the moving joint and move it smoothly to the point
of resistance, but not pain.
D. Force the joint through the full range of motion to prevent contractures.
Correct Answer: C
- PROM is performed by the caregiver, with the resident relaxed. The joint must be
supported to prevent injury, and movement should be smooth and gentle, stopping at
the point of resistance or discomfort. Forcing the joint can cause injury .
Question 10
A resident has a new order for a cold application. The nurse aide should observe the
skin under the cold pack for which of the following signs of a potential complication?
A. Redness and warmth.
B. Pallor and numbness.
C. Diaphoresis (sweating).
D. Pruritus (itching).
